Individual
COLLEEN M. FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
324 ROXBURY RD, ROCKFORD, IL 61107-5090
(815) 398-9491
(815) 398-9494
Mailing address
324 ROXBURY RD, ROCKFORD, IL 61107-5090
(815) 398-9491
(815) 398-9494
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
IL
Other
Enumeration date
09/05/2006
Last updated
07/08/2007
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